Richtlijn Galweg- en Galblaascarcinoom Versie - Oncoline

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1753 1754 1755 1756 1757 1758 1759 1760 1761 1762 H 9 Palliatieve zorg Er wordt verwezen naar de richtlijn palliatieve zorg op www.pallialine.nl H10 Implementatie en evaluatie Tekst volgt Concept Richtlijn galweg- en galblaascarcinoom vs accoord werkgroep Pagina 46 van 75 11 juli 2012
1763 1764 1765 1766 1767 1768 1769 1770 1771 1772 1773 1774 1775 1776 1777 1778 1779 1780 1781 1782 1783 1784 1785 1786 1787 1788 1789 1790 1791 1792 1793 1794 1795 1796 1797 1798 1799 1800 1801 1802 1803 1804 1805 1806 1807 1808 1809 1810 1811 1812 1813 1814 1815 1816 H 11 TNM Classificatie en Classificatie van Bismuth 11.1. TNM Classificatie In 2009 verscheen de zevende editie van de TNM Classification of Malignant Tumours. Galblaascarcinoom Gallbladder (ICD-O C23) Rules for Classification The classification applies to carcinomas of gallbladder and cystic dust. There should be histological confirmation of the disease. The following are the procedures for assessing T, N, and M categories: T categories Physical examination, imaging, and/or surgical exploration N categories Physical examination, imaging, and/or surgical exploration M categories Physical examination, imaging, and/or surgical exploration Regional Lymph Nodes Regional lymph nodes are the hepatic hilus nodes (including nodes along the common bile duct, common hepatic artery, portal vein, and cystic duct). Coeliac, periduodenal, peripancreatic, and superior mesenteric artery node involvement is considered distant metastasis (M1). T - Primary Tumour (zie figuur hoofdstuk chirurgische behandeling galblaascarcinoom) TX Primary tumour cannot be assessed T0 No evidence of primary tumour Tis Carcinoma in situ T1 Tumour invades lamina propria or muscular layer T1a Tumour invades lamina propria T1b Tumour invades muscular layer T2 Tumour invades perimuscular connective tissue; no extension beyond serosa or into liver T3 Tumour perforates the serosa (visceral peritoneum) and/or directly invades the liver and/or one other adjacent organ or structure, such as stomach, duodenum, colon, pancreas, omentum, extrahepatic bile ducts T4 Tumour invades main portal vein or hepatic artery or invades two or more extrahepatic organs or structures N - Regional Lymph Nodes NX Regional lymph nodes cannot be assessed N0 No regional lymph node metastasis N1 Regional lymph node metastasis (including nodes along the cystic duct, common bile duct, common hepatic artery, and portal vein) M - Distant Metastasis M0 No distant metastasis M1 Distant metastasis Concept Richtlijn galweg- en galblaascarcinoom vs accoord werkgroep Pagina 47 van 75 11 juli 2012
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Richtlijn Galweg- en Galblaascarcinoom Versie - Oncoline

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